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Key Points Question Was initiation of the End-Stage Renal Disease Treatment Choices (ETC) payment model associated with changes in the incident dialysis population in its first 18 months of implementation?… Click to show full abstract
Key Points Question Was initiation of the End-Stage Renal Disease Treatment Choices (ETC) payment model associated with changes in the incident dialysis population in its first 18 months of implementation? Findings In this cohort study of 750 314 adults with chronic kidney disease, increased use of home dialysis after ETC implementation was noted among incident dialysis patients use in markets randomly assigned to ETC compared with markets that were not. Also, the overall rate of increase in the percentage of dialysis patients starting home dialysis nearly doubled. Meaning The findings of this study suggest that financial incentives were associated with increasing home dialysis use beyond established secular trends, but the magnitude the magnitude of increase in home dialysis after ETC implementation will not achieve ambitious targets.
Journal Title: JAMA Network Open
Year Published: 2023
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